| NPI | 1225372550 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JULIO CANTERO Managing Partner 818-600-1572 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084N0600X Psychiatry & Neurology, Clinical Neurophysiology (Licence: FL ME94218) |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: FL ME94218) |
| Enumeration Date | 2012-11-27 |
| Last Update Date | 2012-11-27 |